CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC (EIN 95-2801772)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-29
IRS object ID
201222029349300327
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-29T17:20:27-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202707086EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952801772EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Centro De Salud La Communidad De San Ysidro IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6194281330Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14004 Beyer BlvdAddressLine1
CitySan YsidroCity
StateCAState
ZIP Code92173ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEd MartinezName
TitleChief Executive OfficerTitle
Phone6194281330Phone
Date Signed2012-04-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2012-04-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1San Ysidro Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonEd MartinezNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14004 Beyer BlvdAddressLine1
CitySan YsidroCity
StateCAState
ZIP Code92173ZIPCode
FieldValueIRS element (for citing)
Gross Receipts72725886GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.syhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionCentro De Salud De La Communidad De San Ysidro Inc (DBA- San Ysidro Health Center) operates community health centers located in San Diego, CA. the organization's mission is to improve health and well being of the community's traditionally under served and culturally diverse people.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees849TotalNbrEmployees
Total Nbr Volunteers127TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17758107ContributionsGrantsPriorYear
Contributions Grants Current Year21520013ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42439298ProgramServiceRevenuePriorYear
Program Service Revenue CY50123199ProgramServiceRevenueCY
Investment Income Prior Year8244InvestmentIncomePriorYear
Investment Income Current Year15575InvestmentIncomeCurrentYear
Other Revenue Prior Year134221OtherRevenuePriorYear
Other Revenue Current Year1067099OtherRevenueCurrentYear
Total Revenue Prior Year60339870TotalRevenuePriorYear
Total Revenue Current Year72725886TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37901176SalariesEtcPriorYear
Salaries Etc Current Year41703888SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY37280TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year37280TotalFundrsngExpCurrentYear
Other Expense Prior Year20091035OtherExpensePriorYear
Other Expenses Current Year21451505OtherExpensesCurrentYear
Total Expenses Prior Year57992211TotalExpensesPriorYear
Total Expenses Current Year63192673TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2347659RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9533213RevenuesLessExpensesCY
Total Assets BOY42636814TotalAssetsBOY
Total Assets EOY55528321TotalAssetsEOY
Total Liabilities BOY20567095TotalLiabilitiesBOY
Total Liabilities EOY23925389TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22069719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31602932NetAssetsOrFundBalancesEOY
Mission DescriptionThe Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people. The Health Center saw 78,779 patients who produced 306,581 medical and dental visits in CY 2011.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50554140Expense
Grants0Grants
Revenue72728689Revenue
DescriptionThe Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense50554140TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096109NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees849NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichael PendarvisNamePerson
Telephone Number6192056339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11275 30th StreetAddressLine1
CitySan DiegoCity
StateCAState
ZIP Code92154ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Macario Gutierrez
Chairman2X200000
Victor Nieto
Vice Chair2X105000
Laura Andrews
Board Member2X195000
Mercedes Bernal
Board Member2X185000
Roy Cazares
Board Member2X000
Ruth Covell
Board Member2X135000
Raul Eribez
Board Member2X165000
Gilbert Fimbres
Treasurer2X150000
Margarita Navarro
Board Member2X195000
Michael Owens
Board Member2X85000
Magdalena Peraza
Board Member2X145000
Reynaldo Perez
Board Member2X210000
Gloria Ramirez
2nd Vice Chairman2X180000
Yolanda Santana
Secretary2X205000
Tomas Urtasun
Board Member2X146200
Efrain Ibarra
Board Member2X170000
Edward A Martinez
CEO4045719000X
Kevin Mattson
SVP Finance4035222400X
George Matthew Weeks
CMO4028346400X
Terry Whitaker
VP Health Center Operations4023375600X
Lesley Nurse
MD4031561000X
Oscar Rivera
Director Satellite Dental Clinics4024404100X
My-thanh Thi Dinh
MD4024130000X
Miranda Cheree Carr-Cook
MD4023027000X
Sergio Cuevas
Director Dental Clinics4022015800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2602725TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K56NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Consolidated Contracting Service
181 Avenida La PataSan ClementeCA92763Construction2200203
Pacific Building Group
9752 Aspen Creek CourtSan DiegoCA92126Construction2076406
NextGen Healthcare
PO Box 511449Los AngelesCA90051EMR507623
UC Regents
402 Dickinsons StSan DiegoCA92103OBGYN Services368220
Therapy Specialists
3760 Convoy StreetSan DiegoCA92111Therapy360695
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events129041FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants16350658GovernmentGrants
All Other Contributions5040314AllOtherContributions
Noncash Contributions311517NoncashContributions
Total Contributions21520013TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column50123199TotalRevenueColumn
Related Or Exempt Function Income50123199RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue50123199TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15575TotalRevenueColumn
Related Or Exempt Function Income15575RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real65879Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real65879Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column65879TotalRevenueColumn
Related Or Exempt Function Income65879RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1001220TotalRevenueColumn
Related Or Exempt Function Income1001220RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1001220TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column72725886TotalRevenueColumn
Related Or Exempt Function Income51205873RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1200000Total
Program Services78591ProgramServices
Management And General1121409ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33803349Total
Program Services27310013ProgramServices
Management And General6493336ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4309069Total
Program Services3104942ProgramServices
Management And General1204127ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2391470Total
Program Services1930829ProgramServices
Management And General460641ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total131484Total
Program Services8611ProgramServices
Management And General122873ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total230901Total
Program Services15122ProgramServices
Management And General215779ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total37280Total
Fundraising37280Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38489Total
Program Services16932ProgramServices
Management And General21557ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2814488Total
Program Services2226428ProgramServices
Management And General588060ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total354027Total
Program Services214458ProgramServices
Management And General139569ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2650850Total
Program Services2042766ProgramServices
Management And General608084ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2870480Total
Program Services2674986ProgramServices
Management And General195494ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total226842Total
Program Services142246ProgramServices
Management And General84596ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total253698Total
Program Services57833ProgramServices
Management And General195865ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total791279Total
Program Services549224ProgramServices
Management And General242055ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1816052Total
Program Services1359450ProgramServices
Management And General456602ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total335085Total
Program Services27632ProgramServices
Management And General307453ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies647757564774681070
Professional Fees21002832100209740
Postage and Shipping941487141870070

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total265824Total
Program Services209259ProgramServices
Management And General56565ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63192673Total
Program Services50554140ProgramServices
Management And General12601253ManagementAndGeneral
Fundraising37280Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8425BOY
EOY8875EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5394295BOY
EOY7819925EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1911868BOY
EOY3068086EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3034222BOY
EOY4428410EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY307002BOY
EOY332746EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY293109BOY
EOY422751EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51973285LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12907333LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30991677BOY
EOY39065952EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY696216BOY
EOY381576EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42636814BOY
EOY55528321EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5200780BOY
EOY7017390EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY469622BOY
EOY418170EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14896693BOY
EOY16489829EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20567095BOY
EOY23925389EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21956264BOY
EOY31497406EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY113455BOY
EOY105526EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22069719BOY
EOY31602932EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42636814BOY
EOY55528321EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9533213ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8777500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11767425CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14234800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17758107CurrentTaxYearMinus1Year
Current Tax Year21520013CurrentTaxYear
Total74057845Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8777500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11767425CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14234800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17758107CurrentTaxYearMinus1Year
Current Tax Year21520013CurrentTaxYear
Total74057845Total
FieldValueIRS element (for citing)
Public Support Total17074057845PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years220536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72075CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8244CurrentTaxYearMinus1Year
Current Tax Year15575CurrentTaxYear
Total516576Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1292915CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1579003CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1984003CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year134221CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total4990142Total
FieldValueIRS element (for citing)
Total Support79564563TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93079PublicSupportPertcentage170
Public Support Pertcent Prior Year0.90816PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationPer the IRS, the organization is a 501c(3) organization under code 170(b)(1)(A)(9vi) of the code.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis667361OtherCostOrOtherBasis
Book Value667361BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis33870306OtherCostOrOtherBasis
Depreciation6108304Depreciation
Book Value27762002BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1894220OtherCostOrOtherBasis
Depreciation752681Depreciation
Book Value1141539BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9581081OtherCostOrOtherBasis
Depreciation6046348Depreciation
Book Value3534733BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5960317OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value5960317BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39065952TotalOfBookValueLandBuildings
Total Revenue72725886TotalRevenue
Total Expenses63192673TotalExpenses
Excess Or Deficit For Year9533213ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS9533213ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt72725886TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal72725886RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99072725886TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt63192673TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal63192673ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99063192673TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref Fundraising0AgreementRefFundraising
All StatesAll StatesAllStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SYHC Golf TournamentNameOfEvent1
Gross Receipts Event1129041GrossReceiptsEvent1
Charitable Contributions Event10CharitableContributionsEvent1
Gross Revenue Event1129041GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event127454RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event19826OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total129041GrossReceiptsTotal
Charitable Contributions Total0CharitableContributionsTotal
Gross Revenue Total Events129041GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events27454RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events9826OtherDirectExpensesTotalEvents
Direct Expense Summary Events37280DirectExpenseSummaryEvents
Net Income Summary91761NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Edward A Martinez
3771900800000000000457190000
Kevin Mattson
2435830100000086410-100000000252224000
George Matthew Weeks
2604640200000300000000283464000
Terry Whitaker
1889560400000480000000233756000
Lesley Nurse
2560050100005860500000315610000
Oscar Rivera
2240310110780893200000244041000
My-thanh Thi Dinh
2267150262101196400000241300000
Miranda Cheree Carr-Cook
226325010000294500000230270000
Sergio Cuevas
1889580249070629300000220158000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions12NumberOfContributions
Noncash Contribs Rptd F990311674NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe tax return is made available to all Board Members. Board Members requesting a copy then review the return, and all questions or concerns are addressed with the SVP/CFO prior to filing. The return is reviewed in detail by the Director of Finance and SVP/CFO prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cDiscuss possible conflicts as issues arise.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Review compensation data of similar sized health centers and CPCA salary surveys.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request.

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